(Anup K. Pujari)
Director General of Foreign Trade
ANNEXURE - 1
| 1. Name and address of the Development Commissioner, SEZ
: |
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| 2. Name and address of the Supplier : |
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| 3. Importer-Exporter Code (IEC) : |
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| 4. Details of SCOMET items supplied : |
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| SL.No. | Description of items | SCOMET Category | ITC(HS) Code, if available | Qty | SEZ Unit to which supplied | Date of Supply | FOB Value | |
| Rs | US$ | |||||||
| 5. I hereby declare that I am authorized to verify and sign this declaration. | ||||||||
| Date : | Signature : Name : |
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| Place : | Designation : Telephone : FAX : Email address : |
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Annexure - 2
| 1. Name of the SEZ : | ||||||||||
| 2. Details of SCOMET items supplied from DTA : | ||||||||||
| Sl.No. | Description of items | SCOMET Category | ITC(HS) Code, if available | Qty | Name of Supplier | Importer-Exporter Code (IEC) | SEZ Unit to which supplied | Date of Supply | FOB Value | |
| Rs | US$ | |||||||||
| Official Seal/Stamp : Date : |
Signature of Development Commissioner/ authorized
officer of the SEZ Name : Designation : Telephone : FAX : Email address : |
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